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the CITY <br />I r"A ^ONSTRUCTION.- <br />everett PERMIT PERMIT NO. ? 9 U <br />259-RAJ 0 <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />NE O SIGN <br />DIVINER MAIL ADDRESS c n <br />..,._,,.. ,,.,...e.,.. 2011 73rd St. Everett, 98203 355-534 <br />ADDRESS <br />CITY <br />71P PHONE <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADGIE55 <br />CITY <br />ZIP <br />PHONE <br />LICENSE F <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE• <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE F <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />CONTRACT PRICE OF WORK: $ <br />❑ ALTERATION <br />PROPOSED USE OF BUILDING <br />SFR <br />LEGAL DESGIIPTION OF PROPERTY ISMOW BELOW OR ATTACH FO' ICOPIESI <br />LOT— BLOCK— OF <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />PERSON AND PHONE NO It VI ncn I n — <br />2011 "/3ra SC. <br />MECHANICAL <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />A/C - AtHN XG UNITS - H P <br />WATER CLOSET (TOILET) <br />FORCED AIR SYSTEMS -B.T.U. M EA. <br />BATHTUB <br />UNIT HEATERS -� B T.U. M <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RpNOE HOOD <br />DISHWASHER <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />WOOD STOVE <br />CLOTHES WASHER <br />METAL FIREPLACE f <br />URINALFIREPLACE <br />FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />INSERTDRINKING <br />HEAT PUMP <br />GAS PIPING <br />wi <br />E%HAUST FAN <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR. ETC.) <br />SUBTOTAL <br />f 30 00 <br />SUB TOTAL f <br />PERMIT <br />f -- - <br />PERMIT f <br />TOTAL <br />FEE : 00 <br />TOTAL FEE f <br />PLAN CHECK NUMUER <br />FEE RECEIPT NO <br />FRONT SETBACK nEAR SETBACK SIDE SETBACK <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />BUILDING CODE <br />FEE <br />BUILDING <br />$ <br />P "ES ❑ NO <br />TYPE aF-0KSIRI1f.IDN AuaALBE <br />TYPE aCONSTRUCTION AcruAl <br />rp amAuac uwTe <br />PLUMBING <br />MECHANICAL <br />30 <br />00 <br />SIZE OF BLDG NO OF STORIES BASEMENT <br />U YES ❑ NO <br />OCCUPANCY LOAD FIRE SPRINKLERS AEG HEIGHT LIMITATION <br />OTHER <br />❑ YES ❑ NO <br />STATE BUILDING SURCHARGE <br />REASON FOR SPRINKLERS <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS <br />APPLICATION ACC. BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />TOTAL <br />30 <br />00 <br />3105 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />23431 <br />